Sunday, May 08, 2016

A forgotten population in the USA suffering with HIV/AIDS. They sometimes go without diagnosis.

  • Among all gay and bisexual men, (click here) African American gay and bisexual men are most affected by HIV.
  • Diagnoses among all African American gay and bisexual men increased 22% in the last decade but have leveled off since 2010.
  • Diagnoses among young African American gay and bisexual men increased 87% in the last decade but actually declined 2% in the last 5 years.

They probably don't invest in their health with fundamental survival techniques such as condoms.

...socioeconomic factors—such as limited access to and use of quality health care, lower income and educational levels, and higher rates of unemployment and incarceration—that place them at higher risk for HIV infection. These factors may help explain why African Americans have not made greater gains on the HIV continuum of care. Of African Americans living with HIV infection at the end of 2012, 86% had been diagnosed, but only 37% had been prescribed antiretroviral therapy (medicines to treat HIV) and only 29% had achieved viral suppression....

"The Gay Black Man" Culture has to be understood and addressed.

...There are several ways to promote condom use (click here) among people at high risk for sexual transmission of HIV. Individual and group-level interventions help do this by directly addressing individual’s knowledge, attitudes, skills, and behaviors related to condom use, while community-level interventions give a strong emphasis to changing social norms. Although, individual-level, group-level, and community-level interventions demonstrate moderate to high success in promoting condom use, they show the greatest effect in reducing the risk of HIV infection when combined with structural-level interventions.

Structural-level interventions, such as distributing free condoms in diverse venues, social marketing campaigns, or policy change, can address the social, economic, and political environments that shape and constrain individual, community, and societal health outcomes. CDPs become structural interventions when the environment is changed so that there is increased availability, accessibility, and acceptability of condom use....